Evidence map›Paper›PMID 9327814›Full record

ArticleHealth services research1997

A controlled letter intervention to change prescribing behavior: results of a dual-targeted approach.

T M Collins, D A Mott, W E Bigelow, D R Zimmerman

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Health services research, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00268775 (Implementation Strategies Aimed at a Simple Patient-directed Intervention to Reduce Long-term Use of Benzodiazepines in Dutch Community Pharmacies), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00268775 nacompletednot on this mapstarted 2005, after this paper: background citation

Implementation Strategies Aimed at a Simple Patient-directed Intervention to Reduce Long-term Use of Benzodiazepines in Dutch Community Pharmacies

TypeinterventionalSponsorRadboud University Medical CenterRan2005 to 2006Enrolled20,000ConditionsBenzodiazepines Therapeutic UseArmstraining and follow-up of pharmacists, patient-directed discontinuation letter
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Evaluation of a drug-drug interaction: fax alert intervention program.BMC medical informatics and decision making · 2013
    Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

T M CollinsCenter for Health Systems Research and Analysis, University of Wisconsin, USA.
D A Mott
W E Bigelow
D R Zimmerman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the effectiveness of a drug utilization review (DUR) letter intervention sent only to physicians, sent only to pharmacists, or sent to both physicians and pharmacists in changing physician prescribing behavior for dipyridamole. DATA SOURCES/STUDY

settingA Wisconsin Medicaid prescription drug database for data from March 1991 through May 1992 related to both long-term care and ambulatory patient settings. STUDY

designThe effects of a DUR letter intervention were tested using a field study, pre-post, nonequivalent control group, quasi-experimental design. The effects of the letter intervention in terms of dipyridamole expenditures (dollars reimbursed to pharmacies by Medicaid), expenditures for related drugs (aspirin, ticlopidine, sulfinpyrazone) and numbers of patients for whom dipyridamole was discontinued were examined across three experimental groups and a control group. DATA COLLECTION/EXTRACTION

methodsDipyridamole expenditures for each study patient during a six-month preintervention and six-month postintervention period were collected from Medicaid prescription drug claims. Patients who had zero dipyridamole expenditures throughout the six-month postintervention period were classified as having had dipyridamole discontinued. PRINCIPAL

findingsLetters sent to both physicians and pharmacists resulted in a greater percentage of patients discontinuing dipyridamole relative to controls and statistically significant differences in postintervention dipyridamole expenditures relative to controls in both the long-term care and ambulatory patient populations.

conclusionsInterventions that focus on another person in the drug use process in addition to the physician may have greater effects on a change in the prescribing of a targeted drug than letters to physicians alone.

Indexed as

Correspondence as TopicAgedAmbulatory CareDipyridamoleDrug Utilization ReviewFemaleHealth ExpendituresHumansLogistic ModelsLong-Term CareMaleMedicaidMiddle AgedPharmacistsPhysiciansPlatelet Aggregation InhibitorsDipyridamolePlatelet Aggregation InhibitorsVasodilator Agents

Identifiers

PMID9327814
PMCPMC1070206

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.